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Implementation of Services for the Homeless

Developing Services for Clients Who are Homeless

1. Many of the clients that behavioral health professionals serve are not homeless initially but become homeless during treatment and have no place to live once they complete intensive treatment, while others are just one paycheck or one personal or family crisis away from homelessness.

A. True

B. False


The Housing First Approach

2. Each of the following is an accurate statement about Housing First approaches EXCEPT:

A. They are low demand and offer permanent housing for people who are homeless

B. They require the client to enter treatment and/or document abstinence

C. Many Housing First programs encourage clients to participate in money management programs that ensure payment for housing

D. They provide substance abuse, mental health, and medical services through community case management or multidisciplinary teams


Challenges in Adapting Programs To Address the Needs of People Who Are Homeless

3. When instituting a new service component for homelessness in a behavioral health program, staff development will likely be needed to:

A. Confront the myths about people who are homeless, the services they need, and how the services can and should be provided

B. Develop and enhance specialized skills including case management and outreach techniques

C. Educate staff about community resources and how to collaborate with outside organizations

D. All of the above


Different Clients/Different Needs

4. Clients who are episodically homeless are often the most visible subgroup of people experiencing homelessness in a community.

A. True

B. False


Top-Down Service Modification

5. The first step in performing top-down service modification is:

A. Write a proposal or concept paper which identifies collaborators and budget considerations

B. Identify stakeholders and collaborators who want to refer clients and develop or create programs

C. Allocate money once a service need is identified

D. Form a team of service providers and define their roles


Interacting With Community Resources To Build a Continuum of Care

6. An integrated system of care that provides a continuum of housing services increases communication among the organizations involved, improves coordination among providers, and serves more people who are homeless.

A. True

B. False


Integrated System of Homeless Services

7. Collecting information to track and analyze change falls under which component of homelessness services?

A. Service providers

B. Services

C. Continuum of care

D. Infrastructure and operations


Integrating Behavioral Health Services With a Community System of Homelessness Services

8. The distinct phases of care for people who are homeless and are affected by substance abuse or mental illness are commitment, undertaking, and evolving recovery.

A. True

B. False


Behavioral Health Treatment Models for People Who are Homeless

9. Which of the following accurately describes behavioral health treatment models for the homeless?

A. Modified therapeutic communities (MTCs) were first used for people with serious mental illness (SMI) at high risk of institutionalization and modified for people who are homeless

B. A team-based approach is used with assertive community treatment (ACT) to offer substance abuse and mental health treatment, housing, healthcare, medication, and employment services, and to help with family relations and recreational opportunities

C. With MTCs, substance abuse treatment intake, assessment, and engagement occur on a flexible walk-in basis to accommodate clients’ difficulty with keeping appointments

D. Healthcare for the homeless (HCH) services emphasize personal responsibility and mutual support in addressing life difficulties, peers as role models and guides, and the peer community as the healing agent


Building Linkages Among Services

10. Individuals facing homelessness deal with multiple stressors in their lives, and services to address these stressors have historically been segregated, making it difficult for the client to access and use them.

A. True

B. False


Integrating Other Community Support Services

11. Clients in permanent supportive housing must participate in recovery-focused and case management services, but have a choice in which other services they choose to use.

A. True

B. False


Funding Community Homelessness Services

12. Which of the following is NOT typically a reliable source to provide funding for homelessness services?

A. Private foundations

B. Government entities

C. Community groups

D. Health insurance


13. Continuum of Care (COC) programs are based on __________________ and have a goal of helping individuals and families who are homeless quickly transition to self-sufficiency and permanent housing.

A. Community needs assessment

B. Outreach referrals

C. Non-profit entity needs

D. Single State Agency requests


The Interagency Council on Homelessness and the HEARTH Act

14. The Emergency Solutions Grants (ESG) Program funds traditional shelter and outreach activities, as well as prevention, rapid rehousing, emergency shelter activities, family support services for youth who are homeless, victim services, and mental health services.

A. True

B. False


15. Changes in housing funding are likely to be made by future State and Federal legislation, so skillful administrators must be proactive, anticipating modifications in policies and opportunities covered by the new laws.

A. True

B. False


Part 2, Chapter 2-Organizational Approaches to Programming for Homelessness Services

16. Responsibility House in New Orleans is a program that offers numerous services, including offering supportive housing to individuals and families who have disabilities and experience chronic homelessness.

A. True

B. False


Center for Urban Community Services (CUCS)

17. The CUCS of New York provides a wide range of services to help individuals and families who are homeless or were previously homeless and has shifted to a culture of evidence-based practice and:

A. Specialized, cost-effective service

B. Outcome-oriented intervention

C. Continuous, data-driven quality improvement

D. None of the above


18. Project Renewal is a program that provides permanent housing with ongoing supportive services for unaccompanied women who have lived on the streets or in shelters in Washington, DC.

A. True

B. False


No Heroes Policy-Procedures

19. When providing services to homeless clients, the number of workers and other resources needed to facilitate safety should be based on all of the following EXCEPT:

A. The extent to which staff members are familiar with the client, the client’s environment, and the community where the service will be provided

B. The time of day, season, and so forth during which service is to be provided

C. The extent to which staff persons are aware of risk factors that might contribute to unpredictability

D. The cost effectiveness of providing additional staff and services


20. If a client is suspected of being under the influence of nonprescribed substances or is suspected of having a weapon, direct contact within the community should be abbreviated or suspended until the director of the program or designee can be consulted.

A. True

B. False


Ensuring Safety During Street and Community Outreach

21. Staff members who are providing community outreach must always be visible to the street, except in cases when they are assisting in an emergency or crisis situation.

A. True

B. False


22. The safety of all approved outreach sites should be reviewed every six months so that changes in procedures can be implemented when necessary.

A. True

B. False


Client Transport Policies and Procedures

23. Clients who are symptomatically unstable and whose behavior may be impulsive and/or unpredictable should not be transported in an organization vehicle, and if at any time safety concerns arise while transporting a client, the transport should be terminated.

A. True

B. False


Management of Psychiatric and Medical Emergencies

24. The first step that should be taken when a psychiatric or medical emergency occurs in an office is:

A. Call all available clinical staff to assist in the emergency

B. Dial 911 or use the panic button available within the office

C. Make sure all other clients are safe and removed from the situation

D. Inform appropriate administrative staff of the emergency


25. When a psychiatric or medical emergency occurs in the community, the senior staff clinician should always be the one to complete the documentation needed to facilitate transport to an emergency department.

A. True

B. False


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